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抑郁是一种无家可归的在世状态?现象学对我们理解疾病的挑战。

Depression as unhomelike being-in-the-world? Phenomenology's challenge to our understanding of illness.

作者信息

Kayali Tamara, Iqbal Furhan

机构信息

Centre for Family Research, University of Cambridge, Cambridge CB2 3RF, UK.

出版信息

Med Health Care Philos. 2013 Feb;16(1):31-9. doi: 10.1007/s11019-012-9409-5.

DOI:10.1007/s11019-012-9409-5
PMID:22453494
Abstract

Fredrik Svenaeus has applied Heidegger's concept of 'being-in-the-world' to health and illness. Health, Svenaeus contends, is a state of 'homelike being-in-the-world' characterised by being 'balanced' and 'in-tune' with the world. Illness, on the other hand, is a state of 'unhomelike being-in-the-world' characterised by being 'off-balance' and alienated from our own bodies. This paper applies the phenomenological concepts presented by Svenaeus to cases from a study of depression. In doing so, we show that while they can certainly enrich our understanding of depression, they can also reveal a clash between some societal definitions of illness and the individual's definition. Phenomenological analysis may thus cause us to question what we mean, or think should be meant, by the terms 'health' and 'illness'.

摘要

弗雷德里克·斯韦奈厄斯将海德格尔的“在世存在”概念应用于健康与疾病领域。斯韦奈厄斯认为,健康是一种“如在家般的在世存在”状态,其特征是与世界“平衡”且“协调一致”。另一方面,疾病是一种“不像在家的在世存在”状态,其特征是“失衡”且与我们自身的身体相疏离。本文将斯韦奈厄斯提出的现象学概念应用于一项抑郁症研究中的案例。通过这样做,我们表明,虽然这些概念肯定能丰富我们对抑郁症的理解,但它们也能揭示出一些疾病的社会定义与个体定义之间的冲突。现象学分析可能因此促使我们质疑“健康”和“疾病”这些术语的含义,或者我们认为它们应该具有的含义。

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本文引用的文献

1
Illness as unhomelike being-in-the-world? Phenomenology and medical practice.疾病即身处非本真的在世存在?现象学与医学实践。
Med Health Care Philos. 2011 Aug;14(3):323-31. doi: 10.1007/s11019-011-9311-6.
2
Illness as unhomelike being-in-the-world: Heidegger and the phenomenology of medicine.作为在世界中无家可归之存在的疾病:海德格尔与医学现象学
Med Health Care Philos. 2011 Aug;14(3):333-43. doi: 10.1007/s11019-010-9301-0.
3
"A disease like any other"? A decade of change in public reactions to schizophrenia, depression, and alcohol dependence.
“像其他疾病一样的疾病”?公众对精神分裂症、抑郁症和酒精依赖反应的十年变化。
Am J Psychiatry. 2010 Nov;167(11):1321-30. doi: 10.1176/appi.ajp.2010.09121743. Epub 2010 Sep 15.
4
Negotiations of distress between East Timorese and Vietnamese refugees and their family doctors in Melbourne.在墨尔本,东帝汶人和越南难民及其家庭医生之间的痛苦谈判。
Sociol Health Illn. 2010 May;32(4):511-27. doi: 10.1111/j.1467-9566.2009.01228.x. Epub 2010 Apr 15.
5
Lay accounts of depression amongst Anglo-Australian residents and East African refugees.澳大利亚裔英国居民和东非难民对抑郁症的描述。
Soc Sci Med. 2008 Jan;66(2):454-66. doi: 10.1016/j.socscimed.2007.08.019. Epub 2007 Oct 17.
6
Do antidepressants affect the self? A phenomenological approach.抗抑郁药会影响自我吗?一种现象学方法。
Med Health Care Philos. 2007 Jun;10(2):153-66. doi: 10.1007/s11019-007-9060-8. Epub 2007 May 3.
7
"The old me could never have done that": how people give meaning to recovery following depression.“过去的我绝不可能做到那样”:人们如何理解抑郁症康复的意义。
Qual Health Res. 2006 Oct;16(8):1038-53. doi: 10.1177/1049732306292132.
8
Dealing with it: Black Caribbean women's response to adversity and psychological distress associated with pregnancy, childbirth, and early motherhood.应对之道:加勒比黑人女性对与怀孕、分娩及初为人母相关的逆境和心理困扰的应对方式
Soc Sci Med. 2005 Jul;61(1):15-25. doi: 10.1016/j.socscimed.2004.11.047.
9
Perinatal depression among black Caribbean women.加勒比黑人女性中的围产期抑郁症。
Health Soc Care Community. 2004 Sep;12(5):430-8. doi: 10.1111/j.1365-2524.2004.00513.x.
10
Das unheimliche--towards a phenomenology of illness.《怪诞之物——迈向疾病现象学》
Med Health Care Philos. 2000;3(1):3-16. doi: 10.1023/a:1009943524301.